CAROLINA UROLOGY CENTER, PA
NPI 1114942927
Urology in Charlotte, NC

Q: What is Carolina Urology Center, PA's NPI number?

The NPI number for Carolina Urology Center, PA is 1114942927. It was assigned to this organization in the NPPES registry on July 13, 2006.

Q: What is Carolina Urology Center, PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since July 13, 2006CLIA 42D0702825 · Microscopy

10620 PARK RD, SUITE 218, CHARLOTTE, NC 28210(704) 543-7186(704) 543-7094 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carolina Urology Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA UROLOGY CENTER, PA (NPI 1114942927) is a healthcare organization registered as an urology in Charlotte, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through August 10, 2027 and lists Tracy Black, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1114942927

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameCAROLINA UROLOGY CENTER, PA

Location Address10620 PARK RD, SUITE 218Charlotte, NC 28210-8472

Mailing Address1780 Medical Park DrRock Hill, SC 29732-1194 · (803) 327-1116 · Fax (803) 327-6872

Phone(704) 543-7186

Fax(704) 543-7094

Organization SubpartNo

Authorized OfficialTracy BlackPractice Manager · (803) 327-1116

Enumeration DateJuly 13, 2006

Last NPPES UpdateOctober 9, 2007

✔ NPI 1114942927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

10620 PARK RD, Charlotte, NC 28210

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Other Identifiers 5

Medicaid890127VNC

Medicare PIN2316040NC

Other0127VNC · Bcbs

Medicare PINCB3351NC

Other02555NC · Bc/bs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0702825

Carolina Urology Partners, PLLC · Rock Hill, SC

Active · expires Aug 10, 2027

CLIA Number42D0702825

Laboratory TypePhysician Office

Certificate Effective DateAugust 11, 2025

Certificate Expiration DateAugust 10, 2027

Laboratory DirectorDr. Curtis J. Matthews Jr

Laboratory Phone(803) 327-1116

Laboratory LocationCarolina Urology Partners, PLLC1780 Medical Park Drive, Rock Hill, SC 29732

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE DEPIERRO THOMAS PA

Physician Assistant